Individual
AMY PENAL SHALEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
11725 STINSON AVE, CHISAGO CITY, MN 55013-9542
(651) 257-7806
(651) 257-8852
Mailing address
11725 STINSON AVE, CHISAGO CITY, MN 55013-9542
(651) 257-7806
(651) 257-8852
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16482
MN
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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